Chapter 37: Assessment and Management of Patients With Allergic Disorders- MS2
The nurse is teaching a client about allergic rhinitis and its triggers. What is the most common trigger for the respiratory allergic response?
Plant pollen
A nurse comes to the employee health center for evaluation and is diagnosed with allergic contact dermatitis related to latex. What manifestation would the nurse most likely exhibit?
blistering
A client with an allergic disorder calls the nurse and asks what treatment is available for allergic disorders. The nurse explains to the client that there is more than one treatment available. What treatments would the nurse tell the client about?
desensitization
The nurse is working with a client with allergies. What will the nurse use to confirm allergies and decrease the risk of anaphylaxis?
intradermal testing
The nurse is teaching a client with allergic rhinitis about medications. What medication is a mast cell stabilizer used in the treatment of allergic rhinitis?
intranasal cromolyn sodium
The nurse is teaching a client about contact dermatitis. What type of contact dermatitis requires light exposure in addition to allergen contact?
photoallergic
A nurse is assessing a client who is experiencing an allergic reaction. What will the nurse identify as resulting from the release of histamine?
puritis
T-cell deficiency occurs when which gland fails to develop normally during embryogenesis?
thymus
The maximum intensity of histamine occurs within which time frame after contact with an antigen?
5-10 minutes
A patient is experiencing an allergic reaction to a dose of penicillin. What should the nurse look for in the patient's initial assessment?
Dyspnea, bronchospasm, and/or laryngeal edema
When reviewing the list, which medication would the nurse identify as causing the least sedation Diphenhydramine 50 mg orally twice a dayHydroxyzine 25 mg orally three times a dayChlorpheniramine 4 mg orally every 6 hoursFexofenadine 60 mg orally twice a day
Fexofenadine
A client with lupus has had antineoplastic drugs prescribed. Why would the physician prescribe antineoplastic drugs for an autoimmune disorder?
For their immunosuppressant effects
Which term refers to an incomplete antigen?
Hapten
what are the typical serum IgE levels
Normally, serum IgE levels are below 1.0 mg/mL. The patient's level is significantly elevated suggesting allergic reaction. The other values are within normal parameters.
A client is presenting an anaphylactic response to unknowingly ingesting nuts at a family celebration. What type of hypersensitivity did this client exhibit?
Type 1
The nurse observes diffuse swelling involving the deeper skin layers in a client who has experienced an allergic reaction. The nurse would correctly document this finding as
angioneurotic edema.
The nurse is evaluating a client's complete blood cell count and differential along with the serum immunoglobulin E (IgE) concentration. Which result might indicate that the client has an allergic disorder?
High IgE concentration
The nurse is completing the intake assessment of a client new to the allergy clinic. The client states that he was taking nose drops six times a day to relieve his nasal congestion. The nasal congestion increased, causing him to increase his usage of the nasal spray to eight times a day. But again the congestion worsened. The nurse communicates to the health care provider that the client experienced
Rhinitis medicamentosa
The nurse teaches the client with allergies about anaphylaxis, including which statement?
The most common cause of anaphylaxis is penicillin.
The parents of a child with contact dermatitis are asking questions about the reaction within the immune system. What description regarding contact dermatitis as a type IV hypersensitivity reaction is accurate
a delayed-type hypersensitivity that is mediated by T cells